Brandon Thomas Goodman, DPT - Medicare Physical Therapist in Peridot, AZ

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Brandon Thomas Goodman, DPT is a medicare enrolled "Physical Therapist" provider in Peridot, Arizona. His current practice location is 103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 475-1200.

Brandon Thomas Goodman is licensed to practice in Oklahoma (license number 6237) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821709247.

Contact Information

Brandon Thomas Goodman, DPT
103 Medicine Way Rd,
Peridot, AZ 85542-5000
(928) 475-1200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrandon Thomas Goodman
GenderMale
SpecialityPhysical Therapist
Location103 Medicine Way Rd, Peridot, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821709247
  • Provider Enumeration Date: 12/06/2022
  • Last Update Date: 12/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355710245
  • Enrollment ID: I20221215003049

Medical Identifiers

Medical identifiers for Brandon Thomas Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821709247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6237 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandon Thomas Goodman allows following entities to bill medicare on his behalf.
Provider NameSan Carlos Apache Healthcare Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Thomas Goodman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brandon Thomas Goodman, DPT
418 English Elm Ln,
Norman, OK 73069-9629

Ph: (405) 694-6597		Brandon Thomas Goodman, DPT
103 Medicine Way Rd,
Peridot, AZ 85542-5000

Ph: (928) 475-1200

Reviews and Comments


Physical Therapist in Peridot, AZ

San Carlos Apache Healthcare Corporation
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 103 Medicine Way Road, Peridot, AZ 85542
Phone: 928-475-1200    
Kendal Hatler, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    
Madison Jean Ewing, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.